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�r <br /> t.d <br /> ENVIRONMENTAL HEALTH DEPARTMENT Quin CAN JOAQUIN COUNTY Unit Supervisors <br /> JL-11\ Carl Borgman,R.E.H.S. <br /> .off <br /> Donna K.Heran,R.E.H.S. 30�EaSt�� eber F�VEnUB, Third Floor Tviike Huggins,R.E.H.S.,R.D.I. <br /> cr < Director <br /> Stockton, California 95202-2708 Dor,gtas w.Wilson,R.E.tts. <br /> Al Olsen,R.E.H.S. Margaret Lagorio,R.E.H.S. <br /> Program Manager Telephone: (209) 468 34_0 Robert McClellon,R.E.H.S. <br /> 46'964 Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Progrmn Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name <br /> g5-01 /V _pg,,,b <br /> Address_��. <br /> State Sg Zip Code - <br /> city � Indust Type - A ��" "'`' <br /> Industry EPA I.D.Number - <br /> Phone '1S1 6 Z Y� <br /> r p <br /> Facility Contact I I <br /> �Title <br /> Title <br /> Consent Given By faint ' Follow Up <br /> Inspection Date(s) <br /> 2� p Inspection Type (circle): outine Comp <br /> REPRESENTATIVES PRESENT <br /> Organization <br /> Title <br /> Name <br /> L <br /> Sa�c�.Qrf� r H — <br /> t.� <br /> or the California Code of Regulations, Title 22 (22 CCR) relating to the management of <br /> This report may identify conditions observed this day that are alleged to be violations of one or more sections of the California <br /> Health and Safety Code (HSC) <br /> be informed of additional violations. <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After comp <br /> evaluation of the information obtained during the inspection,you may fiance within 6C <br /> it <br /> If any violations are noted, the facility is required to submit a signed certification of Return to comp <br /> days,unless otherwise specified (A certification form is provided) Environments <br /> you for Conti scheduled <br /> violations. Issuance of this Inspection Report does not preclud <br /> Failure to correct these violations within the scheduled period provided may result in San <br /> Joaquin county <br /> ngladditi <br /> Health Department(EHD)citing y <br /> EHD from taking any administrative, civil or criminal action as a result of the violations noted. <br /> n 6 � 1i nP CP� K r l Date <br /> Received by <br /> viro ental Health Specialist <br /> Page 1 of <br /> 315102 <br />